医院女性工作人员宫颈癌筛查结果分析

目的了解医院女性工作人员各个年龄段宫颈疾病的患病特点，为提供有效的防治措施提供理论依据。方法对2008年9—10月参加健康查体的1471例和2010年6—7月参加健康查体的1706例女性工作人员宫颈癌筛查结果进行统计分析。结果2008年和2010年各类宫颈疾病的患病率分别为37．9％（558／1471）和50．6％（864／1706）。其中以不同程度的无自觉症状的慢性宫颈炎症（不包括萎缩性改变）为主（2008年为36．8％，2010年为47．1％）；宫颈上皮细胞学阳性诊断率（≥ASCUS）也呈上升趋势，2008年为1．1％（16／1471），2010年上升为3．7％（63／1706），差异有统计学意义（x^2=12．65，P〈0．01）。各种宫颈疾病与年龄有密切的关系，2年的体检资料共同显示，妇女宫颈炎与宫颈癌的高发年龄均以中年妇女为主（35—50岁）。结论在经济状况和卫生条件较好的医院工作人员群体中，女性宫颈癌的早期筛查意识逐年提高，虽然该群体的患病率低于文献报道，但有逐年上升的趋势，35～50岁是宫颈疾病的高发年龄段，值得高度关注。

Analysis of cervical cancer screening in female medical staff

Objective To understand the characteristics of cervix diseases in female medical staff and provide basis for effective prevention and control.Methods The results of cervical cancer screening in 1 471 female medical staff in our hospitals in 2008 were compared with the 1 706 ones in 2010.Results Morbidity rates of various cervix diseases were 37.9％ (558/1 471) in 2008 and 50.6％ (864/1 706) in 2010,respectively.Most of them were diagnosed with chronic cervicitis (36.8％ in 2008 and 47.1％ in 2010).The difference of positive rate of screening test (TCT results ≥ASC-US) was significant between those in 2008( 1.1％,16/1 471 )and those in 2010(3.7％,63/1 706) ( x2 =12.65,P ＜ 0.01 ).The results also showed that the incidences of various cervix diseases were related to age,and that high rates of cervicitis and cervical cancer were observed in the middle-aged (35 -50 years old).Conclusions Positive rates of cervical cancer screening test tend to rise,and the health condition of the middle-aged women (35 -50 years old) should be paid particular attention.